Preconception Care Practice and Associated Factors among Health Care Providers in Selected Public Hospitals in Addis Ababa, Ethiopia, 2020.
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Date
2020-06
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Addis Ababa University
Abstract
Background: - Preconception care is the arrangement of biomedical, behavioral, and social wellbeing mediations to ladies and couples before conception happens. In any case, it is one of the lost components inside the continuum of maternal and child healthcare. Healthcare providers (HCPs) are at the cutting edge of screening and recognizing preconception risk
factors driving to adverse pregnancy results.
Objective: - To assess preconception care practice and associated factors among health care providers in selected public hospitals in Addis Ababa, Ethiopia, 2020.
Methods: - Institutional based Cross-sectional study design was conducted. Pretested structured self-administered questionnaires were administered to a sample of 852 study subjects who were selected by a simple random sampling technique. Data were cleaned, coded, and entered into Epi-data version 4.6 software, and then exported to Statistical package for social sciences (SPSS), version 25 for statistical analysis. Variables with a p-value<0.25 in the bivariate analysis were the candidate for multivariable logistic regression and those with ap-value<0.05 in the multivariable analysis were considered as having a statistically significant association.
Results: Among total of 781 study participants, 55.7% of health care providers had a good level of knowledge of PCC. The level of health care provides PCC practice (N=775), lower practice 19.7%, medium practice 43%, and high-level practice 37.3% found in this study. Those HCPs with poor PCC knowledge had more than 5 times higher odds of not practicing PCC (AOR= 5.49 95% C.I. 3.84-7.84). Whereas, those HCPs who do not screen their clients’reproductive life plan (RPL) had more than 3 times higher odds of not practicing PCC(AOR=3.84 95% C.I. 2.20-6.71).
Conclusion and recommendation: The findings of this study demonstrated PCC practice was not well incorporated and consistent which indicates that PCC is not well coordinates into the study space. Creating of PCC approach and rules additionally preparing of HCPs are recommended to fortify the integration of the health care system.
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Keywords
Preconception care, knowledge, practice, healthcare providers